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1295398048
IAN C SUTTON
ITHACA, NY
NPI
1295398048
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 024152)
Enumeration Date
2019-04-17
Last Update Date
2019-10-01
Business Address
Mr. IAN C SUTTON PA
101 DATES DR
ITHACA, NY 14850
Phone number: 607-274-4011
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Mailing Address
Mr. IAN C SUTTON PA
200 CORPORATE BLVD
LAFAYETTE, LA 70508-3870
Phone number: 800-893-9698
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